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It is easier to prevent nipple confusion than to fix it--though it is a problem that can be solved, should it occur. Breastfed babies should not be given artificial nipples during the first three to four weeks when they are learning and perfecting their breastfeeding skills. Avoiding artificial nipples means avoiding pacifiers as well as bottles. Supplements, if medically necessary, can be given in ways that don't involve artificial nipples.

http://www.askdrsears.com/html/2/t022400.asp

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